CLEARVIEW SUMMER SPORT CAMPS
Directions: Please complete one form for each camper.
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Camper's FIRST name:
Your answer
Camper's LAST name:
Your answer
Phone number where parent/legal guardian can be reached during camp hours:
enter 9-digit phone numbers only; no dashes - or parentheses ( )
Your answer
Alternative phone number where parent/legal guardian can be reached:
enter 9-digit phone numbers only; no dashes - or parentheses ( )
Your answer
Camper's cell phone number, if applicable:
enter 9-digit phone numbers only; no dashes - or parentheses ( )
Your answer
Mailing info.: Street Address:
Your answer
Mailing info.: City:
Your answer
Mailing info.: State:
Your answer
Mailing info.: Zip:
Your answer
Email address
[parent/legal guardian's email address]
Your answer
Emergency Contact Name AND Telephone:
List someone local who knows your camper:
Your answer
Medical Conditions, Allergies, Medications:
For the safety of your camper, please be as detailed as necessary or type "none."
Your answer
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